One Stop for Health & Nutrition June 2014 .

One Stop for Health & Nutrition

June 2014www.transformcalfresh.org

http://www.transformcalfresh.org/

onestophealthnutrition.org June 2014 2/29

Members:

Founding: 2011, to transform CalFresh participation by 2016

Approach: – Data driven– Consumer focused– “Statewideness”– Alignment, wherever possible

Alliance to Transform CalFresh


ATC Goal for California:

75% CalFresh Participation by 2016

Strategy #1: Maximize ACA and dual-enroll families – most low-income families are eligible for both!

Strategy #2: Reduce churn, to keep eligible people connected to food.

Strategy #3: Deliver same day customer service, to make sure all eligible families get the food they need and qualify for asap.


The ACA Opportunity for CalFresh

“How can California be the best at

signing people up for health coverage and

the worst at signing those same people

up for food assistance?”


The ACA Opportunity for CalFresh

More People eligible for Medi-Cal as of Jan 2014 (up to 138% FPL), so now most low-income people under 65 are income-eligible for both MC and CF.

More Customer Service (e.g., call center networks between counties).

More Outreach, promotion, and application assistance.


Why One Stop for Health & Nutrition?

Less red tape for families who are seeking help if can tell story once (i.e., apply, verify, interview for CF, etc).

Greater chance families will get (and keep) both supports as long as eligible and in need.

Greater enrollment in CF and MC boosts federal stimulus in local economy (e.g. grocery stores) and relieves pressure on local charities.


Less work for counties to dually enroll in one stop (once can re-engineer process and re-train workers to integrate intake and case mgmt...)– Can leverage Express Lane: enroll in CF and

“express” onto MC (see ACWDL 14-06 here)– Plus, State budget increases gross income eligibility

for CF to 200% (net still 100%), so more working families with high expenses will get CF (and health)

Less burden on other county emergency services

Why One Stop for Health & Nutrition?

http://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/ACWDL2014/14-06.pdf


What are the Opportunities for your County?

1. New goals: More (X) eligible people who are

participating in Medi-Cal also participating in CalFresh

More (Y) eligible people who are participating in CalFresh also participating in Medi-Cal

Overall, more (Z) eligible people in need of food participating in CalFresh


County Opportunities, cont’d

2. New strategies: – Integrated intake so families get both CF & MC in “one

stop” (and case management), especially with a) Express Lane from CF to MC and b) new gross income test to 200% for CF

– Targeted in-reach to health: Assistance to MC enrollees targeted as eligible for CF, and vice-versa (and other programs like school meals and WIC)

– Integrated outreach: New combined outreach projects with CBOs for CF and health for harder-to-reach groups

3. New plans: – Plus, can provide updated, data-driven “County

Participation Plan” for CalFresh to CDSS and Legislature.


Data You Can Use: Set Your Goal


Data You Can Use: Track Your Progress

Your County’s Dual Enrollment Rates & Total Participation Numbersfrom CDSS’s new Data Dashboard for CalFresh


Context

Talk to your county about this data and what the best, most current data they have for MC/CF enrollment show is happening in your county.

CDSS Data Dashboard is still waiting on best MC data since many MC apps still “pending.”

Rates of dual enrollment may well drop in 1Q 2014, as people surge onto Medi-Cal, some ACA challenges continue at all levels, and counties need time to catch up with CF and truly integrate intake.


Action Steps – Every County

1) Set a specific goal with/for your county based on your baseline to maximize dual enrollment in MC and CF -- either adopt the CBPP rates or calculate a specific number to add to CF from MC.

2) Identify strategies already in use and to add – for example, in-reach to MC lists, with a simplified CF app; Express Lane to MC at CF intake, per ACWDL 14-06; integrated outreach for both.

3) Track data for progress -- in both dual enrollment and overall participation -- focusing on trend by end of year, to allow for ACA roll-out and new data collection.


ATC Action Steps – State Level

Tracking the Dual Enrollment Data statewide, quarterly – ATC & All Supporting new Integrated Application from Covered CA to

CF/Counties – CHHS Agency proposal coming to California Health Exchange Board before August 2014 deadline (to build by December 2015 deadline)

Promoting on-going Express Lane from CF to MC by counties – ATC working with DHCS, CDSS, and CWDA to track use

Advocating for Reverse Express Lane from MC to CF – CDSS proposal to USDA pending

Aligning reporting of MC and CF – SB 1002 pending in legislature (WCLP & CFPA, co-sponsors)

Advocating for federal & state policy alignment (e.g., verifications, telephonic signature for CF, interview for CF) – ongoing...


ATC Toolkit for County Advocates

Website for all tools: onestophealthnutrition.org “The ACA Opportunity for CalFresh” Fact Sheet “County Leaders and CalFresh: Three Steps ”

Fact Sheet CDSS Data Dashboard Quarterly Updates “How to use Dashboard” guide Blog with updates Links to resources (DHCS’s ACWDL on Express

Lane, SDHC’s Outreach Report)


County Advocates at Work

Alameda – Allison Pratt, Alameda County Community Food Bank

Los Angeles – Yolie Anguiano & Alexis Fernandez, California Food Policy Advocates

San Francisco – Teri Olle, SF-Marin Food Bank San Diego – Amanda Schultz, San Diego

Hunger Coalition


Setting Goals for CalFresh Participation in Alameda County

Strong desire among leadership at Social Services Agency and political support

SSA is making dual enrollment a priority Linking with current initiatives to generate

excitement and support for new goals– County Supervisor Wilma Chan’s “New War on

Poverty” • Workgroup includes community organizations and

SSA leadership


Pursuing an In-reach Strategy in Alameda County

Food Bank has 11 year history of applying varied outreach strategies

For our in-reach strategy, we partnered with SSA to design and send a mailer to 58,000 households receiving MediCal, but not CalFresh– 4% return, double the normal benchmark for

success– High number of applications with 90% approval

rate


Looking Ahead...In Alameda County

More in-reach; we’ve found this strategy to be very cost-effective compared to our other large campaigns. – Current campaign includes 80,000 MediCal

households and 10,000 households ageing out of WIC• Mailing will be dropped in batches to control flow

Other way to reach this population include mapping and focusing on certain neighborhoods, residences and businesses.

Can we send a simplified application instead?

onestophealthnutrition.org June 2014

Coalition of Advocates Identified Priority Strategies to Increase Dual

Enrollment in Los Angeles County

Nutrition for LA Families Coalition’sPriorities for Dual Enrollment: “In-reach” to programs with similar

eligibility requirements Improve the electronic referral process

from CalHEERs (Covered California)

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In-reach in LA CountyDPSS electronic data management system identifies residents that are likely CalFresh based on income information provided for other programs

For example, Medi-Cal only households with no share-of-cost

CalFresh solicitation Letter sent to inform them of potential CalFresh eligibility

Letter highlights potential CalFresh benefit amount

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Referrals from Covered CA for CalFresh to LA County

DPSS Current Process Send informative CalFresh mailer to those

individuals who requested a referral to CalFresh Mailer highlights CalFresh enrollment options

(e.g. online)

Advocates’ Request DPSS seamlessly initiates a pre-populated

application for CalFresh and sends to individuals who requested referral to CalFresh

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As county continues to promote health care enrollment, keep DPSS engaged in implementing additional in-reach strategies & solidifying a process for CalFresh referrals.

Start a dialogue with the Board of Supervisors to gain support for increased CalFresh participation and maximized dual enrollment.

Questions? ContactYolie Anguiano at 213.482.8200 ext. 202 or [email protected] Fernandez at 510.433.1122 ext. 111 or [email protected]

Ongoing Advocacy in LA County

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mailto:[email protected]



New Strategy in San Francisco County

Outbound recruitment of targeted individuals

“Reach out to individual people instead of waiting for them to come to us.”

Target: Medi-Cal

–9,000 clients under 130% FPL and not on CalFresh

Free School Meals:–11,000 students on Free School Meals are not enrolled in CalFresh but are eligible


Current Budget Prospects in San Francisco County

Mayor’s proposed $2.1 million for FY 14-15 Mayor’s Budget (+ FY13-14 approved supplemental budget) will fund: Two Outreach Teams of Eligibility Workers

– Focus on Medi-Cal recipients, school children, and community-based enrollment (such as successful “CalFresh in a Day”) – First dedicated outreach staff in a decade– Each team = 8 EWs and 1 supervisor

Food Security Task Force’s requested $195 thousand in “Add Backs” would fund: CBO Outreach and Application Assistance at community venues and to targeted individuals


Advocate Priorities in San Diego County

Implementation of AB 191: San Diego County HHSA proactively created work-arounds to implement AB191, raising the gross income test to 200% FPL for households with Medi-Cal recipients (note new state budget now broadens to all at 200% FPL)

Express Lane Enrollment: San Diego County HHSA is

working to ensure that Express Lane Enrollment is being implemented, maximizing dual enrollment in CalFresh and Medi-Cal. HHSA is currently in the process of updating county program guide materials and will be providing continued staff training opportunities.


Links

One Stop for Health & Nutrition Toolkitwww.onestophealthnutrition.org

CDSS Data Dashboard for CalFresh

http://www.cdsscounties.ca.gov/foodstamps

http://www.onestophealthnutrition.org/




Contacts

Kim McCoy Wade [email protected] Allison Pratt [email protected] Yolie Anguiano [email protected] Alexis Fernandez [email protected] Teri Olle [email protected] Amanda Schultz

[email protected]








Coming Soon...

More ATC Webinars & Toolkits on Key Strategies to

Transform CalFresh Participation

#2: Reducing “Churn” by Eligible People

#3: Providing Same Day Service


Q & A


The Alliance would like to thank its funders:

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One Stop for Health & Nutrition June 2014 .

Documents

Transcript of One Stop for Health & Nutrition June 2014 .